If the client will take those forms to fill out later, at least complete the DISCLOSURE form listing your company on line one and your own contact information on line two of the section labeled By/To. Faxing that to us will enable us to share information with you.
It will help get therapy started if we have a fax of both sides of the insurance card. NOTE: If the client has Title 19, Medicaid, or Badgercare, we just need the clients social security number, not the Forward Card.
With the clients permission on a DISCLOSURE form, please fax any reports or information you may have or a summary of the data, concerns, and goals you may have.
Our secure fax number is: 414-434-1824
Youve made an important decision to get help for your client.
Our goal is to get therapy
scheduled and started as soon as possible.
We hope to make this important step go as easily as we can.
Brown Deer Office: (414) 540-2170
Waukesha Office: (262) 446-9981
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